Episode #17 -Neonatal/Pediatric Ventilation Series Part 1

The Critical Care Triad - The Ventilator Podcast

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Summary

In this episode, we discuss the challenges and considerations for neonatal and pediatric intubation. We emphasize the need for proper training and reference materials for healthcare professionals who may be called upon to transport neonates and pediatric patients. The discussion covers topics such as ET tube sizes and placement, securing the ET tube, choosing the right laryngoscope, and pharmacological considerations. We also highlight the importance of pre-oxygenation and bag-mask ventilation, as well as the use of backup airway devices. The episode concludes with a call for listener questions and feedback.

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Takeaways

• Proper training and reference materials are essential for healthcare professionals who may be called upon to transport neonates and pediatric patients.
• When intubating neonates, it is important to consider the appropriate ET tube size based on weight and gestational age.
• Securing the ET tube is crucial, and healthcare professionals should be skilled in proper taping techniques.
• Neonates should not be treated as "little adults"; they have unique physiological responses and considerations.
• Pre-oxygenation and bag-mask ventilation are critical in neonatal intubation to ensure adequate oxygenation and ventilation.
• Backup airway devices, such as LMAs and iGels, should be available in case intubation is unsuccessful.

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